Mathu Nataki Hanson, PT, DPT, MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25657 Issued in CA

Practice address

4300 Green River Rd Ste 114
Corona, CA 92880-1506

Phone

(951) 382-4238

Fax

(951) 254-9928

NPI assigned

Dec 5, 2007

Last updated

Sep 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanson and Associates Physical TherapyGroup PAC ID 2365712015, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tone Physical Therapy and Rehab

  dba Corona Hills Physical Therapy & Wellness

  • Physical Therapist
  • Corona, CA
  • NPI 1063933117
  Medicare reassignment Care Compare group Authorized official
• Kevin O. Lawrence MD Inc

  • Physical Medicine & Rehabilitation Physician
  • Rancho Cucamonga, CA
  • NPI 1659545630
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1780866327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 DE PALMA RD STE 1C-492",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834010",
            "telephone_number": "951-479-2139",
            "fax_number": "951-254-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GREEN RIVER RD STE 114",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801506",
            "telephone_number": "951-382-4238",
            "fax_number": "951-254-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MATHU",
        "middle_name": "NATAKI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Robert Hamilton, L.M.F.T.
• Sam Hammad
• Suzan Hanna, MD
• Haley L Hansen, BA
• Ashley Monike-Candia Hanson
• Happy Taxi
• Youssef Harb
• Christiana Hardin
• Tyrone Hardy
• Venessa Harewood

• Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.